MEDICARE: ORLAND FIRE PROTECTION DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	8300	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590004115	OTHER	IL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	277006900	OTHER	IL	DOL / OWCP
3	1670642	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1932148350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLAND FIRE PROTECTION DISTRICT

Provider Business Mailing Address
First Line	:	9790 WEST 151 STREET
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462
Country	:	US
Telephone Number	:	708-349-0074
Fax Number	:	708-349-0354

Provider Business Practice Location Address
First Line	:	9790 WEST 151ST STREET
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462
Country	:	US
Telephone Number	:	708-349-0074
Fax Number	:	708-349-0354

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	MRS. KERRY COLLEEN SULLIVAN
Credential	:
Telephone Number	:	708-873-2711

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	09/08/2025

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Directions to “ORLAND FIRE PROTECTION DISTRICT ” Practice Location

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